Verification of Student Enrollment
Montgomery College
Germantown Campus Cashier
20200 Observation Drive
Germantown, MD 20876
Montgomery College
Rockville Campus Cashier
51 Mannakee Street
Rockville, MD 20850
Montgomery College
Takoma Park/Silver Spring Campus Cashier
7600 Takoma Avenue
Takoma Park, MD 20912
Student Name
Student ID M- Daytime Phone
Address
Student Signature Date
ES 2/27/17
International Letter of Expense; indicate immigration status:
Other, please explain:
Mail letter to Address (Provide Complete Address):
Address (Continued)
City State ZIP
Date Processed _________________OFFICE USE ONLY Amount Paid $________ Date Sent __________________
Letter certifying enrollment* (full time, part time, etc.); indicate ONE semester and year per form:
Fall Winter Spring Summer
First Name Middle Name Last Name
Street City State Zip
The letter of certification fee is $5.00 per copy; a letter will verify ONE semester only.
Submit a form for each semester that needs to be verified. Make checks payable to Montgomery College.
Check type of letter needed:
Verification of student enrollment does not include grades or grade point averages (GPA). Transcript Requests
are used for this purpose. Verifications will not be generated for students who have financial holds.
I authorize Montgomery College to release the requested information on this form.
Check how you would like letter processed:
*Note: If only this box is checked, letter may be produced on a walk-in basis by Office of Admissions & Records.
Prepare letter for Pick-up (Specify Date*):
Note: Allow three business days for processing International Letter of Expense and other special requests. Allow seven
business days for processing during peak registration.